Individual
DONAE DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6919 E 10TH ST STE E3A, INDIANAPOLIS, IN 46219-4819
(317) 672-2101
Mailing address
4421 KINGSLEY DR, INDIANAPOLIS, IN 46205-2152
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058207
—
IN
Enumeration date
09/26/2022
Last updated
10/03/2022
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